Addressing Health Equity and Social Determinants of Health Through Healthy People 2030.
Addressing Health Equity and Social Determinants of Health Through Healthy People 2030.
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DOI：
10.1097/phh.0000000000001297
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发表时间：
2021-11-01
期刊：
影响因子：
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通讯作者：
Brewer KH
中科院分区：
文献类型：
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作者：
Gómez CA;Kleinman DV;Pronk N;Wrenn Gordon GL;Ochiai E;Blakey C;Johnson A;Brewer KH
补充数字内容在文本中可用。健康人的演变反映了人们对生命过程中健康不平等的日益认识。每十年，该倡议都使人们了解国家如何实现健康和福祉。为告知《健康人民2030》在未来十年实现健康公平的远景目标，2030年国家健康促进和疾病预防目标秘书咨询委员会（秘书咨询委员会）为美国卫生与公众服务部提供了关于健康公平的关键术语、框架和衡量标准的指导。人们出生、生活、学习、工作、娱乐、崇拜和年龄的环境条件影响健康和福祉结果、功能以及生活质量结果和风险，是造成卫生不平等的主要原因。没有任何一个人、组织、社区或部门拥有唯一的所有权、责任或能力来维持整个人口的健康和福祉。2019冠状病毒病在美国的大流行凸显了不同人群在健康和医疗保健方面的潜在不平等和差异。在大流行之前已知的促成因素导致了感染率和死亡率的重大差异。为了减少健康差距和促进健康公平，需要系统的方法，旨在改变公共卫生问题的相互关联的方面。
Supplemental Digital Content is Available in the Text. The evolution of Healthy People reflects growing awareness of health inequities over the life course. Each decade, the initiative has gained understanding of how the nation can achieve health and well-being. To inform Healthy People 2030's visionary goal of achieving health equity in the coming decade, the Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Secretary's Advisory Committee) provided the US Department of Health and Human Services with guidance on key terms, frameworks, and measurement for health equity. Conditions in the environments in which people are born, live, learn, work, play, worship, and age influence health and well-being outcomes, functioning, and quality-of-life outcomes and risks and are mostly responsible for health inequities. No single individual, organization, community, or sector has sole ownership, accountability, or capacity to sustain the health and well-being of an entire population. The COVID-19 pandemic in the United States highlights underlying inequities and disparities in health and health care across segments of the population. Contributing factors that were known prior to the pandemic have led to major discrepancies in rates of infection and death. To reduce health disparities and advance health equity, systems approaches—designed to shift interconnected aspects of public health problems—are needed.